A client comes to the clinic with complaints of intense itching to their vaginal area. Upon inspection, the nurse notes swollen labia, erythema to the vaginal mucosa with thick, white discharge. What condition might the nurse suspect?

Syphilitic chancre

Trichomoniasis vaginitis

Bacterial vaginosis

Candidal vaginitis

Answer and Explanation

The Correct Answer is D

Choice A reason: Syphilitic chancre is a painless ulcer, not itchy with white discharge. This STD lacks the erythematous, swollen, thick discharge presentation, excluding it from matching the client’s vaginal symptoms entirely and accurately in this case here.
Choice B reason: Trichomoniasis causes frothy, yellow-green discharge with itching, not thick white. This parasitic infection’s discharge differs from the observed curd-like consistency, making it less likely than candidiasis for this clinical picture fully here.
Choice C reason: Bacterial vaginosis produces thin, gray discharge with fishy odor, not thick white or intense itching. This bacterial imbalance contrasts with the erythematous, swollen findings, ruling it out as the suspected condition comprehensively here.
Choice D reason: Candidal vaginitis, from yeast, causes thick, white, curd-like discharge, itching, and erythema. This matches the client’s swollen labia and mucosal redness, making it the most likely diagnosis for these vaginal symptoms accurately here fully.

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Correct Answer is C

Explanation

Choice A reason: Annual hearing screenings detect loss, not prevent it. In manufacturing, where noise exposure is immediate, this reactive measure doesn’t address the primary risk of loud machinery damaging cochlear hair cells, missing proactive protection entirely.

Choice B reason: Avoiding ototoxic drugs like aminoglycosides prevents chemical hearing damage, but manufacturing noise is the dominant risk. This advice is secondary to physical noise control, less relevant to the plant’s environmental hazard than direct protective measures here.

Choice C reason: Hearing protectors, like earplugs, block noise above 85 decibels, preventing cochlear damage in loud manufacturing settings. This primary prevention targets the main risk—prolonged sound exposure—directly safeguarding workers’ auditory health effectively and immediately in context.

Choice D reason: Stating noise above 85 decibels causes loss educates but doesn’t prevent. It’s factual—hair cells die from overexposure—but lacks actionable protection for manufacturing workers facing this risk daily, making it less practical than wearing protectors.

A. Loss of tactile sensation B. Difficulty speaking C. Blurred vision D. Inability to hear high-pitched sounds

Correct Answer is B

Explanation

Choice A reason: Loss of tactile sensation ties to parietal lobe damage, not frontal. A frontal contusion affects executive function and speech, not sensory processing, making this finding less likely given the injury’s location in this trauma scenario fully.
Choice B reason: Difficulty speaking, like Broca’s aphasia, is common with frontal lobe contusions, as this area houses speech production centers. Post-accident, this aligns with damage to motor speech pathways, making it the most probable finding here accurately.
Choice C reason: Blurred vision relates to occipital or optic nerve injury, not frontal lobe. A contusion here impacts cognition or speech, not visual processing, rendering this less expected than speech issues in this head injury context entirely.
Choice D reason: Inability to hear high-pitched sounds involves cranial nerve VIII or temporal lobe, not frontal. This contusion affects behavior and speech, not auditory function, excluding this as a primary finding in this frontal damage case fully.

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A client comes to the clinic with complaints of intense itching to their vaginal area. Upon inspection, the nurse notes swollen labia, erythema to the vaginal mucosa with thick, white discharge. What condition might the nurse suspect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning a personal safety educational session for those who work in a manufacturing plant. Which of the following would be an important risk prevention measure to include regarding hearing?

Correct Answer is C

Explanation

A client is admitted to the emergency room with a head injury. The client denies a previous history of seizures or head injury. What would the nurse most likely find when assessing a client diagnosed with a frontal lobe contusion following a motor vehicle accident?

Correct Answer is B

Explanation

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